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Individual
MS. THERESA C MASON
Active
Individual
MS. THERESA C MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW BCD
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW013231
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002097
HIGHMARK BC/BS
PA
01
—
200054
VALUE OPTIONS
PA
Enumeration date
03/10/2006
Last updated
10/03/2007
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